Organization
LYNN GAYE BROWN, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN G BROWN MD (PHYSICIAN)
(815) 932-2000
Entity
Organization
Contact information
Practice address
500 N WALL ST, SUITE 201, KANKAKEE, IL 60901-2942
(815) 932-2000
(815) 932-7435
Mailing address
500 N WALL ST, SUITE 201, KANKAKEE, IL 60901-2942
(815) 932-2000
(815) 932-7435
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036082934
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC3815
RAILROAD MEDICARE
IL
Enumeration date
04/19/2007
Last updated
11/30/2011
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